| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,821 |
3,493 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
32 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
36 |
$671.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
56 |
$370.46 |
| 90756 |
|
49 |
33 |
$345.09 |
| 99318 |
|
17 |
14 |
$209.28 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
20 |
$178.52 |
| 86580 |
|
72 |
53 |
$109.41 |
| 82962 |
|
20 |
14 |
$29.51 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |